Anxiety Stress and Coping最新文献

Background and Objectives: Resilience refers to the process through which individuals show better outcomes than what would be expected based on the adversity they experienced. Several theories have proposed that variation in resilience is underpinned by cognitive flexibility, however, no study has investigated this using an outcome-based measure of resilience.Design: We used a residual-based approach to index resilience, which regresses a measure of mental health difficulties onto a measure of adversity experienced. The residuals obtained from this regression constitute how much better or worse someone is functioning relative to what is predicted by the adversity they have experienced.Methods: A total of 463 undergraduate participants completed questionnaires of mental health difficulties and adversity, as well as a number-letter task-switching task to assess cognitive flexibility.Results: Multiple regression analyses showed that better cognitive flexibility was not associated with greater resilience.Conclusions: Our findings do not support theoretical models that propose the existence of a relationship between cognitive flexibility and resilience. Future research may serve to refine the residual-based approach to measure resilience, as well as investigate the contribution of "hot" rather than "cold" cognitive flexibility to individual differences in resilience.

Background and objective: Research has shown that perceptions of future time as limited are associated with more depressive symptoms. However, there is limited research on which dimensions of future time perspective (FTP: opportunity, extension, constraint) are associated with depression, anxiety, and stress, and whether these findings vary across age.

Design and methods: Data came from a cross-sectional study in a nonclinical U.S. sample (N = 793, 48.0% male; 48.7% female; age: M = 50 years, range: 19-85 years), and local structural equation modeling was used to examine the moderating role of age as a continuous variable rather than artificial age groups.

Results: For all dimensions of FTP, the perception of the future as limited was moderately to strongly associated with higher depression, anxiety and stress levels. More importantly, the association between the perceived constraint dimension and depression, anxiety, and stress was twice as large at younger ages than at older ages.

Conclusion: These findings indicate that perceived constraint is primarily a strong risk factor for or indicator of negative wellbeing in young adulthood, whereas perceived limited opportunity and extension are potential risk factors or indicators across the entire adulthood.

Background and objectives: The potential detrimental effects of commuting stress have gradually attracted scholars' interest in recent years. Going beyond the perspectives of prior studies (e.g., conservation of resources theory), this study offers a new explanatory framework for the relationship between employees' commuting stress and turnover intention based on the transactional theory of stress. Specifically, this study aims to investigate the mediating effect of hindrance appraisal and the moderating effect of trait mindfulness.Design and method: To test the hypotheses, we collected two-wave data from 243 employees working in various Chinese firms. Path analysis was used for the analysis.Results: The findings demonstrated that hindrance appraisal mediated the positive relationship between commuting stress and turnover intention. In addition, trait mindfulness buffered the relationship between commuting stress and turnover intention as well as the indirect effect of hindrance appraisal on this relationship.Conclusions: The findings highlight the stressor appraisal mechanism in the association between commuting stress and turnover intention and identify trait mindfulness as a key coping mechanism for reducing commuting stress.

Background and objectives: Friends are major sources of social support for adolescents. This support may sometimes lead to co-rumination when the problem is discussed exhaustively with a focus on negative feelings. Co-rumination has been associated with some forms of anxiety, including clinical symptoms. Further studies are needed to investigate whether this association extends to additional and non-clinical forms of anxiety in youth. This study aimed to explore the relationship between co-rumination and trait anxiety, test anxiety, and anxiety sensitivity using secondary data.

Design and methods: In this 2019 cross-sectional study, 1204 (59% girls) Canadian 6th-grade early adolescents (ages 11-12) and 11th-grade late adolescents (ages 16-17) completed self-report questionnaires measuring co-rumination, trait anxiety, test anxiety, and anxiety sensitivity.

Results: Co-rumination was associated with anxiety sensitivity in early adolescents and with trait anxiety, test anxiety, and anxiety sensitivity in late adolescents.

Conclusions: Developmental factors may play a role in the association between co-rumination and different forms of anxiety. Anxiety sensitivity may appear alongside co-rumination in early adolescence and may broaden to trait and test anxiety in late adolescence. These results extend our understanding of the relationship between co-rumination and anxiety, as well as generate hypotheses for future longitudinal studies.

Background and objectives: During large-scale stressful events such as pandemics, situational uncertainty and daily routine disruptions increase anxiety prevalence, underscoring the need for research on approaches to promote effective coping. This study focused on the psychological function of benefit finding in the context of the COVID-19 pandemic.

Design and methods: Both Study 1a (a cross-sectional survey of 567 Chinese adults) and Study 1b (a two-wave longitudinal survey of 406 Chinese adults) examined the relationship between benefit finding and anxiety, with hope as the mediator. Study 2 used an interventional design to examine the efficacy of daily benefit-finding writing among 129 Chinese college students.

Results: In Studies 1a and 1b, benefit finding was positively associated with anxiety, which was mediated by hope. Study 2 showed that daily writing tasks significantly promoted benefit finding. Hope mediated the relationship between benefit finding and anxiety at both the within- and between-person levels.

Conclusions: Benefit finding can foster hope and relieve anxiety. Daily benefit-finding activities, which can be conducted online, can help improve mental health during pandemics.

Background and objectives: Suicidal ideation (SI) during the postpartum phase is linked with suicide, a leading cause of death during this period. Antenatal depression and anxiety symptoms have both been linked with increased risk for postpartum SI. However, research aimed at examining the relative contributions of antenatal anxiety and depression symptoms towards postpartum SI remains nascent. In this study, we investigated the relative contribution of antenatal anxiety symptoms, depression symptoms, and SI towards postpartum SI.

Design: These data are from a longitudinal study in which American mothers were assessed during pregnancy and again at six- to eight weeks postpartum.

Methods: Data were analyzed using correlations and logistic regression models.

Results: Antenatal anxiety symptoms and antenatal depression symptoms were significantly correlated with postpartum SI. Results from a logistic regression model indicated that antenatal anxiety symptoms (T1; OR = 1.185 [1.125, 1.245], p = .004), but not antenatal depression symptoms (T1; OR = 1.018 [0.943, 1.093], p = .812) or antenatal SI (T1; OR = 1.58 [0.11, 22.29], p = 0.73), were significantly associated with postpartum SI.

Conclusions: Antenatal anxiety symptoms, depression symptoms, and SI were positively associated with postpartum SI. When examined simultaneously, anxiety symptoms during the antenatal phase (but not depression symptoms or SI) predicted SI in the postpartum phase.

Background: Perpetrating or witnessing acts that violate one's moral code are frequent among military personnel and active combatants. These events, termed potentially morally injurious events (PMIEs), were found to be associated with an increased risk of depression, in cross-sectional studies. However, the longitudinal contribution of PMIEs to depression among combatants remains unclear.

Method: Participants were 374 active-duty combatants who participated in a longitudinal study with four measurement points: T1-one year before enlistment, T2-at discharge from army service, and then again 6- and 12-months following discharge (T3 and T4, respectively). At T1, personal characteristics assessed through semi-structured interviews. At T2-T4, PMIEs and depressive symptoms were assessed.

Results: At discharge (T2), a total of 48.7% of combatants reported experiencing PMIEs incident, compared with 42.4% at T3 and 30.7% at T4. We found a significant interaction effect in which combatants endorsing PMIEs at discharge reported higher severity of depression symptoms at discharge (T2) than combatants who reported no PMIEs. This effect decreased over time as depression levels were lower at T3 and T4.

Conclusions: PMIE experiences, and especially PMIE-Betrayal experiences, were found to be valid predictors of higher severity of depression symptoms after the first year following discharge.

Background and objectives: Examination anxiety is a common occurrence, and is potentially detrimental to student attainment. In recent theorizing, it has been suggested that cognitive appraisals, as put forth in cognitive appraisal theory, and irrational beliefs, as put forth in rational emotive behavior therapy, may interact to predict affectivity. The current research examines the antecedents and associates of examination affect and academic self-concept in undergraduate students.

Design: A preliminary study applied confirmatory factor analysis (CFA) to test the factor structure of an irrational beliefs inventory. Study 1 utilized a cross-sectional and correlational approach to testing core theoretical assumptions. Study 2 took a two-wave longitudinal and path analytical approach to examine temporal effects between target variables.

Method: All self-report data collection took place in the United Kingdom with university students. We recruited n = 1150, n = 362, n = 662 for preliminary, study 1, and study 2, respectively.

Results: Across studies, data indicated that a pattern of adaptive cognitive appraisal was associated with more advantageous affectivity, and better academic self-concept.

Conclusions: Reciprocal temporal relationships were revealed between many variables, supporting an interactive and bidirectional view of how cognition and affect are related pertaining to examination anxiety.

Background: Moral injury is a potentially debilitating outcome of exposure to events involving transgressions against an individual's moral code. It is often observed in the context of PTSD; however, treatments that do not differentiate the two are often ineffective for moral injury, suggesting different mechanisms contribute to the conditions. The most widely accepted model of moral injury proposes an important role for self-discrepancy processes in generating and maintaining event-related distress, but this has yet to be examined.

Methods: This study recruited 172 adults online who had been exposed to a potentially morally injurious event in the previous 5 years. Participants completed measures of event-related distress, PTSD, depression, and anxiety, as well as a self-discrepancy task involving subjective representations of their ideal, ought, and feared selves.

Results: Multiple regression analyses found a small but significant relationship between self-discrepancy and event-related distress, with higher levels of ought self-discrepancy independently predicting higher event-related distress scores.

Conclusions: This study provides the first empirical evidence of the relationship between self-discrepancy and moral injury. We identified the ought self as a domain of self-discrepancy salient to moral injury, further differentiating moral injury from PTSD.

Background: Problematic internet use (PIU), which includes social media misuse (SMM) and gaming misuse (GM), is uncontrollable and associated with significant psychological impairment. PIU is a coping behavior for COVID-19-related stress. We explored distress-related predictors of PIU in a young adult racially diverse sample during the pandemic.

Methods: Analyses used cross-sectional survey data (N = 1956). Psychological diagnoses, financial distress, COVID-19-related emotions, psychological distress, distress tolerance, social support, loneliness, SMM and GM were measured. Hierarchical multiple regressions identified predictors of PIU. Race-stratified exploratory analyses sought to understand if predictors held true across racial groups.

Results: Low distress tolerance was associated with SMM and GM, as were depression symptoms, with racial differences observed. SMM was associated with younger age, and GM was associated with male gender. PTSD symptoms predicted more GM. SMM and GM rates varied between racial groups. COVID-19-related adjustment challenges and stress predicted SMM and GM respectively, with racial differences observed.

Conclusion: Individual psychological distress and low distress tolerance markedly increased PIU risk. Clinicians should screen for stress-related PIU risk factors and bolster distress tolerance in vulnerable patients. Comparing PIU to different forms of coping in a larger sample would further clarify groups differences in stress coping behaviors.